child-enrollment CHILD'S NAME First GENDER Male Female BIRTHDAY MM slash DD slash YYYY HOME ADDRESS HOME PHONE NUMBERBASIC INFORMATION:MOTHER/GUARDIAN’S NAME HOME PHONE NUMBERHOME ADDRESS EMPLOYER HRS. FROM Hours : Minutes AM PM AM/PM HRS. TO Hours : Minutes AM PM AM/PM EMPLOYER ADDRESS BUSINESS PHONEFATHER/GUARDIAN’S NAME HOME PHONE NUMBERADDRESS EMPLOYER EMPLOYER ADDRESS HRS. FROM Hours : Minutes AM PM AM/PM HRS. TO Hours : Minutes AM PM AM/PM BUSINESS PHONECHILD’S FIRST DAY OF CARE:
